Taking a Day off to Pray: Closing Schools for Religious Observance in Increasingly Diverse Schools

States and public schools across the Nation consistently debate the number of days students must be in attendance, the length of the day, and the configuration of those days to maximize learning opportunities. Establishing the school calendar within each state’s statutory minimum can be challenging as many states still maintain somewhat traditional (albeit antiquated) calendars, which commence the school year around Labor Day and conclude shortly after June begins.1 Public schools are generally in session for 180 school days. Some states have been more creative in their scheduling by reducing the number of days required of student attendance in favor of expanded school days, citing reduced costs. Attempting to schedule 180 school days in the period of late August through early June does not provide schools with much flexibility should they be required to close for exigent circumstances such as inclement weather. Providing students with additional days off for holidays and religious observances only increases the complexity of meeting the required number of school days in a respective state given these calendar constraints

Taking a Day off to Pray: Closing Schools for Religious Observance in Increasingly Diverse Schools

States and public schools across the Nation consistently debate the number of days students must be in attendance, the length of the day, and the configuration of those days to maximize learning opportunities. Establishing the school calendar within each state’s statutory minimum can be challenging as many states still maintain somewhat traditional (albeit antiquated) calendars, which commence the school year around Labor Day and conclude shortly after June begins.1 Public schools are generally in session for 180 school days. Some states have been more creative in their scheduling by reducing the number of days required of student attendance in favor of expanded school days, citing reduced costs. Attempting to schedule 180 school days in the period of late August through early June does not provide schools with much flexibility should they be required to close for exigent circumstances such as inclement weather. Providing students with additional days off for holidays and religious observances only increases the complexity of meeting the required number of school days in a respective state given these calendar constraints

PHarmacist Avoidance or Reductions in Medical Costs in Patients Presenting the EMergency Department: PHARM-EM Study

Objectives:. To comprehensively classify interventions performed by emergency medicine clinical pharmacists and quantify cost avoidance generated through their accepted interventions. Design:. A multicenter, prospective, observational study was performed between August 2018 and January 2019. Setting:. Community and academic hospitals in the United States. Participants:. Emergency medicine clinical pharmacists. Interventions:. Recommendations classified into one of 38 intervention categories associated with cost avoidance. Measurements and Main Results:. Eighty-eight emergency medicine pharmacists at 49 centers performed 13,984 interventions during 917 shifts that were accepted on 8,602 patients and generated $7,531,862 of cost avoidance. The quantity of accepted interventions and cost avoidance generated in six established categories were as follows: adverse drug event prevention (1,631 interventions;$2,225,049 cost avoidance), resource utilization (628; $310,582), individualization of patient care (6,122;$1,787,170), prophylaxis (24; $22,804), hands-on care (3,533;$2,836,811), and administrative/supportive tasks (2,046; $342,881). Mean cost avoidance was$538.61 per intervention, $875.60 per patient, and$8,213.59 per emergency medicine pharmacist shift. The annualized cost avoidance from an emergency medicine pharmacist was $1,971,262. The monetary cost avoidance to pharmacist salary ratio was between$1.4:1 and $10.6:1. Conclusions:. Pharmacist involvement in the care of patients presenting to the emergency department results in significant avoidance of healthcare costs, particularly in the areas of hands-on care and adverse drug event prevention. The potential monetary benefit-to-cost ratio for emergency medicine pharmacists is between$1.4:1 and $10.6:1